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Health Care Billing & Collections: Forms, Checklists & Guidelines

Book - Looseleaf

Book - Looseleaf

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Whether your greatest professional challenge is battling Medicare for fair reimbursements, training new employees, overcoming payment objections or avoiding legal problems, Health Care Billing & Collections: Forms, Checklists & Guidelines is the unique one-stop reference that gives you the tools and strategies you need to succeed in today's high-pressure health care business environment.

Based on the real-world experiences of some of the best health care billing and collection offices nationwide, Health Care Billing & Collections :

  • Proven procedures and practical guidelines, based on the real-world experiences of some of the best health care billing and collection offices nationwide
  • Time-saving forms, worksheets, and letters
  • Annual updates to ensure that your office procedures are always up-to-date
  • And much more!

Plus, Health Care Billing & Collections now includes a Bonus CD-ROM which includes over 60 customizable forms, checklists and policies! Click here to see a complete listing.

Health Care Billing & Collections has been updated to include:

  • New and updated policies and forms:
    • CHAMPVA Fact Sheet
    • Registration/Collection in the Emergency Department: Front Desk Registration and Script
    • Protocol for Surgery Scheduling and Pre-Surgical Financial Counseling
    • Sample RFP Template
  • FTC Gives More Latitude on Collecting from Deceased Debtors
  • Bankruptcy Abuse & Prevention Act
  • Frequently Asked Questions About the Disposal of Protected Health Information
  • Recovery Audit Contractors and Medicare: The Who, What, When, Where, How & Why
  • The ICD-10 Transition
  • New Electronic Claim Standards: 5010 and ICD-10
  • New Health Care Electronic Transactions Standards
  • Can External Call Centers Benefit Access Departments?
  • Facts About Age Discrimination
  • Patient Access Metrics
  • Examine Current Operations Before You Outsource
  • Maintaining Hospital–Collection Agency Relationships

Resources Highlight
Last Updated 12/12/2016
Update Frequency Updated annually
Product Line Wolters Kluwer Legal & Regulatory U.S.
ISBN 9780834208759
SKU 10044879-7777
Table of Contents
  • 1. Various Payer Classes
    • Key Types of Insurance Carriers
    • Workers' Compensation
    • Usual, Customary, and Reasonable (UCR) Denials
    • Administrative Denials
  • 2. Collection Strategies
    • Up-Front Collection/Registration Guidelines and Policies
    • Financial Assistance/Counseling
    • Overcoming Objections to Payment
    • Successful Collection Strategies
    • Collection Letter Writing
    • Basics of Telephone Collection
    • Skip Tracing
    • Collection Follow-up
    • Management of Collections
    • Collection Policies and Procedures
  • 3. Legal Aspects of Collecting
    • Laws Affecting Billing and Collections
    • Key Legal Concerns
    • Specific Types of Debtor Cases
  • 4. Billing
    • The Health Insurance Portability and Accountability Act of 1996
    • Assessment and Training
    • Policies
  • 4A. Billing and Insurance
    • Specific Payer Guidelines
    • Insurance Claims Process
    • Productivity
    • Billing Policies and Procedures
  • 4B. Medicare Billing
  • 4C. Coding and Compliance
    • Coding for Physician/Hospital Services
    • Compliance Issues
    • False Claims Act
    • Emergency Medical Treatment and Active Labor Act
  • 5. Electronic Systems/Commerce
    • Automated Collection Follow-up Systems
    • Electronic Data Interchange
    • Online Bill Payments
  • 6. Customer Relations
    • Understanding Your Customers
    • Developing Quality Customer Service Attitude
    • Handling/Preventing Patient Complaints
    • Patient Handouts
    • Advance Beneficiary Notices
    • Price Quoting
  • 7. Staff Management
    • Job Descriptions
    • The Hiring Process
    • Motivating and Goal Setting
    • Turnover Prevention
    • Staff Development
    • Discipline
    • Performance Evaluations
    • Resignations/Exit Interviews
    • Other Staff Policies
  • 8. Business Management
    • Quality Improvement
    • Budgeting
    • Provider/Vendor Relationships
    • Managed Care Contracting
  • 9. Working with Collection Agencies
    • Selecting a Collection Agency
    • When to Place Accounts with an Agency
    • Evaluating an Agency's Performance
    • Forms, Policies, and Procedures

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